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Postpartum Support International PMHC exam : Perinatal Mental Health Certification

PMHC Exam Questions
  • Exam Code: PMHC
  • Exam Name: Perinatal Mental Health Certification
  • Updated: Aug 19, 2026
  • Q & A: 110 Questions and Answers
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Postpartum Support International PMHC Exam Syllabus Topics:

SectionObjectives
Topic 1: Perinatal Mental Health Foundations- Risk and protective factors
  • 1. Protective factors and resilience
    • 2. Biopsychosocial risk factors
      - Perinatal mood and anxiety disorders (PMADs)
      • 1. Postpartum depression and related conditions
        • 2. Depression and anxiety during perinatal period
          Topic 2: Clinical Assessment and Screening- Screening tools and evaluation
          • 1. Suicide and safety risk assessment
            • 2. Perinatal mental health screening practices
              Topic 3: Treatment and Intervention- Therapeutic approaches
              • 1. Crisis intervention and stabilization
                • 2. Evidence-based psychotherapy approaches
                  - Pharmacology in perinatal mental health
                  • 1. Medication safety during pregnancy and lactation
                    Topic 4: Ethics, Culture, and Systems of Care- Ethical practice in perinatal mental health
                    • 1. Professional boundaries and confidentiality
                      - Cultural competence and disparities
                      • 1. Health equity in maternal mental health

                        Postpartum Support International Perinatal Mental Health Certification Sample Questions:

                        1. 32. Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:

                        A) take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.
                        B) recognize this as a behavior of the taking-hold stage.
                        C) tell the woman she can rest after she feeds her baby.
                        D) record the behavior as ineffective maternal-newborn attachment.


                        2. 18. Including the support person in postpartum depression education creates a barrier to recognizing postpartum depression.

                        A) True
                        B) False


                        3. 25. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):

                        A) Is an invasive test; however. contractions are stimulated.
                        B) Is more effective than nonstress test (NST) if the membranes have already been ruptured.
                        C) Is considered to have a negative result if no late decelerations are observed with the contractions.
                        D) Sometimes uses vibroacoustic stimulation.


                        4. 9. The maternity nurse promoting parental-infant attachment should incorporate which appropriate cultural beliefs into the plan of care? (Select all that apply.)

                        A) Encourage Vietnamese mothers to cuddle with the newborn.
                        B) Asian mothers are encouraged to return to work as soon as possible.
                        C) Encourage Hispanics to eat plenty of fish and pork to increase vitamin intake.
                        D) Jordanian mothers have a 40-day lying-in after birth.
                        E) Japanese mothers rest for the first 2 months after childbirth.


                        5. 72. Untreated anxiety during pregnancy may lead to which pregnancy outcome?

                        A) Increased fetal head circumference
                        B) Reduced fetal activity
                        C) Increased gestational weight
                        D) Reduced gestational weight


                        Solutions:

                        Question # 1
                        Answer: A
                        Question # 2
                        Answer: B
                        Question # 3
                        Answer: C
                        Question # 4
                        Answer: D,E
                        Question # 5
                        Answer: D

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